Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder.
Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder.
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DOI：
10.12788/jhm.2736
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发表时间：
2017-05
影响因子：
2.6
通讯作者：
Korthuis PT
中科院分区：
文献类型：
--
作者：
Englander H;Weimer M;Solotaroff R;Nicolaidis C;Chan B;Velez C;Noice A;Hartnett T;Blackburn E;Barnes P;Korthuis PT
物质使用障碍（SUD）患者住院和再入院率高，住院时间长，医疗费用飞涨。然而，改善护理的模式极为有限。我们进行了需求评估，然后召集学术和社区合作伙伴，包括医院，社区SUD组织和医疗补助责任护理组织，为医疗复杂的SUD住院患者设计护理模式。需求评估显示，报告使用活性物质的参与者中有58%至67%表示他们有兴趣减少或戒烟。许多人报告对成瘾治疗药物感兴趣。参与者的高成本再入院率和住院时间长于预期。社区利益攸关方认为，医疗复杂的病人等待时间长和缺乏资源是主要障碍。我们开发了改善成瘾护理团队（IMPACT），其中包括住院成瘾药物咨询服务，快速获得的途径，以posthospital SUD治疗，以及医学增强的住宅护理模式，整合抗生素输液和住宅成瘾护理。我们开发了一个商业案例，并从医疗补助和医院支付者那里获得了资金。IMPACT为医院、付款人和社区提供了一条合作解决SUD流行病的途径。
People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates of costly readmissions and longer than expected length of stay. Community stakeholders identified long wait times and lack of resources for medically complex patients as key barriers. We developed the Improving Addiction Care Team (IMPACT), which includes an inpatient addiction medicine consultation service, rapid-access pathways to posthospital SUD treatment, and a medically enhanced residential care model that integrates antibiotic infusion and residential addiction care. We developed a business case and secured funding from Medicaid and hospital payers. IMPACT provides one pathway for hospitals, payers, and communities to collaboratively address the SUD epidemic.
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影响因子：
5.7
作者：
Velez, Christine M.;Nicolaidis, Christina;Englander, Honora
通讯作者：
Englander, Honora
影响因子：
5.5
作者：
Walley AY;Paasche-Orlow M;Lee EC;Forsythe S;Chetty VK;Mitchell S;Jack BW
通讯作者：
Jack BW
DOI：
10.1377/hlthaff.2015.1424
发表时间：
2016-05-01
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Ronan MV;Herzig SJ
通讯作者：
Herzig SJ
影响因子：
--
作者：
Smith, Peter C.;Schmidt, Susan M.;Saitz, Richard
通讯作者：
Saitz, Richard
影响因子：
--
作者：
Bush, K;Kivlahan, DR;Bradley, KA
通讯作者：
Bradley, KA